No abstract available.
Nephrectomy*

Purpose: We evaluated results of surgical treatment for renal tumors during six years (1993-1998) at the Department of Urology, Chî RÉy Hospital and research for the incision approach that can satisfy with the principles of radical nephrectomy. Materials and method: A prospective descriptive statistics was performed on 32 radical nephrectomies with the Bevan’s incision. Results: The average kidney tumor size was 9cm. The average operating time was 13037.3 minutes (60-245minutes). The average blood loss was 282157.6 ml (50 - 525ml). The average post-operative staying time was 9.6 2.5days (6-17days). Preoperative complications occurred in 6 out of 32 cases (18.8%), post-operative complications developed in 5 out of 32 cases (15.6%). There was not death. Conclusion: The Bevan’s modified approach is suitable for radical nephrectomy in renal carcinoma
Nephrectomy

No abstract available.
Nephrectomy*

No abstract available.
Nephrectomy*

Presented is a rare case of Wilms' Tumor (WT) in a 3-month old female with a palpable nontender left flank mass. In the early infancy period (<6 months), there is a low incidence of malignancy in renal masses, and congenital benign renal lesions (like congenital mesoblastic nephroma) predominate in this age group. We did nephroureterectomy and lymph node sampling. Histopathology revealed localized non-metastatic COG Stage I WT with favorable histologic features. The patient underwent adjuvant chemotherapy with dactinomycin and vincristine using an institution based protocol, which offers upfront surgery followed by chemotherapy. This approach is similar to the Children's Oncology Group (COG) protocol.
Nephrectomy

No abstract available.
Kidney* ; Nephrectomy*

Multilocular renal cyst having an entity of uncertain nature, is an uncommon benign lesion. As a treatment modality of renal multilocular cyst, simple or radical nephrectomy has been performed because of the difficulty in its accurate diagnosis and the documented association with malignancy. Herein, we report a case of renal multilocular cyst which was successfully treated by extirpation of the cystic mass only with preservation of the remaining normal renal parenchyma.
Diagnosis ; Nephrectomy

No abstract available.
Laparotomy* ; Nephrectomy*

OBJECTIVE: To determine whether prophylactic antibiotics are necessary in preventing possible postoperative infectious complications in healthy living kidney donorsMATERIALS AND METHODS: Twenty-five living kidney donors were divided into two groups: Group A - received intravenous normal saline solution (placebo) and Group B - received prophylactic broad-spectrum antibiotics. Both of these were administered one hour prior to donor nephrectomy and in two doses within 24 hours postoperatively. Signs of postoperative infection were evaluated with fever, pyuria, wound changes and bacteriologic studies as clinical parameters. Data were analyzed using the chi-square testRESULTS: Five patients (30.7 percent) in the placebo group and two patients (16 percent) in the prophylaxis group developed postoperative fever. The differences in these two groups were however not statistically significant. "Significant pyuria" was noted in two patients belonging to group A while none was seen in group B. The presence of urinary tract infection was documented in both cases by culture studies. No patient in Group B developed urinary tract infection. This difference however, was not statistically significant. No documented wound infection occurred in both placebo and prophylaxis groups. However, one patient in the placebo group developed serous wound discharge, which healed with intake of antibiotics, and daily wound careCONCLUSIONS: No statistically significant differences were observed in donor nephrectomies who received either placebo or broad-spectrum prophylaxis in terms of postoperative fever, significant pyuria and wound infection. The use of prophylactic antibiotics in these otherwise healthy individuals may not really be necessary in preventing postoperative infectious complications. (Author)
Nephrectomy, Antibiotics

No abstract available.
Animals ; Dogs* ; Nephrectomy*